3/12/24,d15:00d APEAd13Pd1EXAMd1PREP7d1Ethicsd1Professionald1Issuesd1Questionsd1
1PM ANDd1100%d1V…
APEA 3P EXAM PREP7 ETHICS PROFESSIONAL
ISSUES QUESTIONS AND 100% VERIFIED
ANSWERS WITH EXPANATIONS
An older adult male with moderately severe dementia
presents with his caregiver daughter. His BMI is 18. His
clothes have food stains on them and he looks as though he
hasn’t been bathed in days. How should the nurse
practitioner handle this?
The NP should comment to the daughter
about his poor care.
The NP should report this as potential elder
abuse.
The patient should be asked about his care.
The daughter should be asked about the type of care he
receives.
This patient presents as though he is being poorly cared for
and mistreated. This occurs in about 3-8% of the adult
population in the United States. There is no evidence that the
patient has been physically abused, but he obviously suffers
from neglect. This is a form of elder abuse, just as physical,
sexual, psychological, or financial abuse is. Older adults with
dementia often suffer abuse most frequently.
A nurse practitioner is working in a minor care area of an
emergency department. An illegal immigrant has a puncture
wound caused by an unknown sharp object in a trash
about:blank 1/27
,3/12/24,d15:00d APEAd13Pd1EXAMd1PREP7d1Ethicsd1Professionald1Issuesd1Questionsd1
1PM ANDd1100%d1V…
container.d1Ad1dirtyd1needled1isd1suspected.d1Th
ed1nursed1practitioner:
Shouldd1administerd1ad1tetanusd1injectiond1onlyd1sinced1th
ed1patientd1hasd1nod1medicald1insurance.
Shouldd1prescribed1appropriated1medicationsd1ford1HIVd1e
xposured1evend1thoughd1thed1nursed1practitionerd1knows
d1thed1patientd1can’td1affordd1them.
Shouldd1notd1mentiond1thed1possibilityd1ofd1HIVd1exposur
ed1fromd1ad1dirtyd1needled1tod1thed1patient.
Cand1offerd1tod1buyd1thed1HIVd1medicationsd1ford1$50d1w
ithd1theird1professionald1discountd1atd1thed1pharmacyd1n
extd1door.
Thed1standardd1ofd1cared1followedd1byd1thed1nursed1pra
ctitionerd1shouldd1notd1dependd1ond1whetherd1thed1patie
ntd1hasd1insuranced1ord1not.d1Itd1isd1unethicald1tod1notd1
properlyd1informd1thed1patientd1ofd1risksd1hed1mayd1hav
ed1beend1exposedd1tod1fromd1thed1punctured1wound.
Offeringd1tod1buyd1thed1medicationsd1ford1thed1patientd1i
sd1nobled1butd1isd1notd1ad1sustainabled1practice.d1Thed1n
ursed1practitionerd1shouldd1prescribed1thed1medicationsd
1asd1ford1anyoned1withd1possibled1HIVd1exposured1andd1
referd1tod1sociald1servicesd1ord1ad1communityd1referrald1a
gencyd1thatd1cand1helpd1thisd1patientd1acquired1thed1app
ropriated1medications.
Ad1nursed1practitionerd1isd1workingd1ind1ad1minord1care
d1clinic.d1Shed1realizesd1thatd1ad1patientd1withd1ad1minor
d1lacerationd1doesd1notd1haved1insuranced1andd1isd1using
d1hisd1brother’sd1insuranced1informationd1todayd1sod1tha
td1hisd1visitd1willd1bed1covered.d1Howd1shouldd1shed1pro
ceed?
Shed1shouldd1letd1himd1knowd1thatd1shed1
knowsd1whatd1hed1isd1doing.d1Shed1shoul
dd1ignored1this
about:blank 2/27
, 3/12/24,d15:00d APEAd13Pd1EXAMd1PREP7d1Ethicsd1Professionald1Issuesd1Questionsd1
1PM ANDd1100%d1V…
andd1proceedd1tod1sutured1hisd1wound.
Shed1shouldd1letd1thed1clinic'sd1businessd1officed
1knowd1whatd1isd1happening.
Shed1shouldd1notd1sutured1hisd1woundd1andd1a
skd1himd1tod1leave.
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td 1 thisd 1 patientd1isd 1 attemptingd 1 tod1defraudd 1 thed1clinic
d 1 andd1insuranced 1 companyd 1 ind1orderd 1 tod 1 received 1 fr
eed 1 care.d 1 Ifd 1 shed 1 doesd1notd 1 letd 1 thed 1 businessd1offic
ed1know,d1shed1isd1ad1partyd1tod1thed1fraud.d1Shed1shouldd
1letd1thed 1 businessd1officed1knowd1whatd1isd 1 happeningd 1
andd1haved1thed1patientd1presentd 1 documentsd1verifyingd1th
atd1hed1isd1whod1hed1statesd1thatd1hed1is.d1Ifd 1 hed 1 cannot,
d 1 hed 1 cand 1 stilld 1 received 1 cared 1 ifd1hed 1 isd 1 willingd 1 tod
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Whichd1studyd1listedd1belowd1isd1consider
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es
Cross-
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yd1Cohortd1st
udy
Meta-analysis
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d1them.d1Examplesd1ofd1thesed1ared1foundd1ind1thed1first
d1threed1choices.d1Ad1meta-
analysisd1takesd1publishedd1informationd1fromd1otherd1s
tudiesd1andd1combinesd1thed1informationd1tod1arrived1at
about:blank 3/27
1PM ANDd1100%d1V…
APEA 3P EXAM PREP7 ETHICS PROFESSIONAL
ISSUES QUESTIONS AND 100% VERIFIED
ANSWERS WITH EXPANATIONS
An older adult male with moderately severe dementia
presents with his caregiver daughter. His BMI is 18. His
clothes have food stains on them and he looks as though he
hasn’t been bathed in days. How should the nurse
practitioner handle this?
The NP should comment to the daughter
about his poor care.
The NP should report this as potential elder
abuse.
The patient should be asked about his care.
The daughter should be asked about the type of care he
receives.
This patient presents as though he is being poorly cared for
and mistreated. This occurs in about 3-8% of the adult
population in the United States. There is no evidence that the
patient has been physically abused, but he obviously suffers
from neglect. This is a form of elder abuse, just as physical,
sexual, psychological, or financial abuse is. Older adults with
dementia often suffer abuse most frequently.
A nurse practitioner is working in a minor care area of an
emergency department. An illegal immigrant has a puncture
wound caused by an unknown sharp object in a trash
about:blank 1/27
,3/12/24,d15:00d APEAd13Pd1EXAMd1PREP7d1Ethicsd1Professionald1Issuesd1Questionsd1
1PM ANDd1100%d1V…
container.d1Ad1dirtyd1needled1isd1suspected.d1Th
ed1nursed1practitioner:
Shouldd1administerd1ad1tetanusd1injectiond1onlyd1sinced1th
ed1patientd1hasd1nod1medicald1insurance.
Shouldd1prescribed1appropriated1medicationsd1ford1HIVd1e
xposured1evend1thoughd1thed1nursed1practitionerd1knows
d1thed1patientd1can’td1affordd1them.
Shouldd1notd1mentiond1thed1possibilityd1ofd1HIVd1exposur
ed1fromd1ad1dirtyd1needled1tod1thed1patient.
Cand1offerd1tod1buyd1thed1HIVd1medicationsd1ford1$50d1w
ithd1theird1professionald1discountd1atd1thed1pharmacyd1n
extd1door.
Thed1standardd1ofd1cared1followedd1byd1thed1nursed1pra
ctitionerd1shouldd1notd1dependd1ond1whetherd1thed1patie
ntd1hasd1insuranced1ord1not.d1Itd1isd1unethicald1tod1notd1
properlyd1informd1thed1patientd1ofd1risksd1hed1mayd1hav
ed1beend1exposedd1tod1fromd1thed1punctured1wound.
Offeringd1tod1buyd1thed1medicationsd1ford1thed1patientd1i
sd1nobled1butd1isd1notd1ad1sustainabled1practice.d1Thed1n
ursed1practitionerd1shouldd1prescribed1thed1medicationsd
1asd1ford1anyoned1withd1possibled1HIVd1exposured1andd1
referd1tod1sociald1servicesd1ord1ad1communityd1referrald1a
gencyd1thatd1cand1helpd1thisd1patientd1acquired1thed1app
ropriated1medications.
Ad1nursed1practitionerd1isd1workingd1ind1ad1minord1care
d1clinic.d1Shed1realizesd1thatd1ad1patientd1withd1ad1minor
d1lacerationd1doesd1notd1haved1insuranced1andd1isd1using
d1hisd1brother’sd1insuranced1informationd1todayd1sod1tha
td1hisd1visitd1willd1bed1covered.d1Howd1shouldd1shed1pro
ceed?
Shed1shouldd1letd1himd1knowd1thatd1shed1
knowsd1whatd1hed1isd1doing.d1Shed1shoul
dd1ignored1this
about:blank 2/27
, 3/12/24,d15:00d APEAd13Pd1EXAMd1PREP7d1Ethicsd1Professionald1Issuesd1Questionsd1
1PM ANDd1100%d1V…
andd1proceedd1tod1sutured1hisd1wound.
Shed1shouldd1letd1thed1clinic'sd1businessd1officed
1knowd1whatd1isd1happening.
Shed1shouldd1notd1sutured1hisd1woundd1andd1a
skd1himd1tod1leave.
Thed 1 nursed 1 practitionerd 1 cannotd 1 ignored 1 thed 1 factd 1 tha
td 1 thisd 1 patientd1isd 1 attemptingd 1 tod1defraudd 1 thed1clinic
d 1 andd1insuranced 1 companyd 1 ind1orderd 1 tod 1 received 1 fr
eed 1 care.d 1 Ifd 1 shed 1 doesd1notd 1 letd 1 thed 1 businessd1offic
ed1know,d1shed1isd1ad1partyd1tod1thed1fraud.d1Shed1shouldd
1letd1thed 1 businessd1officed1knowd1whatd1isd 1 happeningd 1
andd1haved1thed1patientd1presentd 1 documentsd1verifyingd1th
atd1hed1isd1whod1hed1statesd1thatd1hed1is.d1Ifd 1 hed 1 cannot,
d 1 hed 1 cand 1 stilld 1 received 1 cared 1 ifd1hed 1 isd 1 willingd 1 tod
1 payd 1 ford1it.d1And1alternatived1cared1sited1shouldd1bed1off
eredd1tod1him.
Whichd1studyd1listedd1belowd1isd1consider
edd1and1experimentald1study?d1Cased1seri
es
Cross-
sectionald1stud
yd1Cohortd1st
udy
Meta-analysis
Observationald1studiesd1ared1studiesd1ind1whichd1subject
sd1ared1observed.d1Nod1interventiond1takesd1placed1with
d1them.d1Examplesd1ofd1thesed1ared1foundd1ind1thed1first
d1threed1choices.d1Ad1meta-
analysisd1takesd1publishedd1informationd1fromd1otherd1s
tudiesd1andd1combinesd1thed1informationd1tod1arrived1at
about:blank 3/27
